Dallas ISD and the UIL require the parent/legal guardian to complete the electronic forms every year.
All forms will be submitted electronically except for the UIL - Pre-participation Physical and Medical History form which will be turned into your High School Campus Athletic Trainer or your Middle School Coordinator. All athletes in 7th – 12th grade must have an annual physical exam by a Doctor to participate in athletics, practices, or games.
The UIL - Pre-participation Physical evaluation – Medical History form may not be completed prior to May 1st of the previous school year.
No student athlete will be allowed to begin participating in athletics or after school workouts until all online forms and medical paperwork are on file with your High School Campus Athletic Trainer or your Middle School Coordinator.
If you are taking a district-approved sport off-campus (i.e., rowing, skating, cycling, lacrosse, etc.), you must talk to your counselor and get approval/credit sign-off.
Here is the link to the application you will need to complete. You will need to scroll to pages 19-26.
Please complete all sections and secure all necessary signatures (i.e. principal, counselor, off campus instructor) before taking the application to the District contact listed below. The office has re-located from the Nolan Estes building to the Buckner Building. The address is below. And yes, it will need to be in and approved by Friday, September 7!
****Please note new address and phone number below***
Health and Physical Education Department
2909 N. Buckner Blvd., 4th Floor
Dallas, TX 75228
(972)925-6790 – Main Line
Please note the following changes to the reimbursement of some benefits for the Dallas ISD's Athletic Accident Insurance:
$100 DEDUCTIBLE PER ACCIDENT
Day Surgery Miscellaneous:(Facility Charge)
|MRI/Cat Scan:||$600 Maximum|
|Room & Board:||100% Usual and Customary|
|Hospital Miscellaneous:||100% Usual and Customary|
|Surgery:||100% Usual and Customary|
|(Only one  procedure through the same incision allowed)|
|Physician's Visits:||100% Usual and Customary|
|(Limited to one  visit per day and does not apply when related to surgery or Rehab)|
|Physical Therapy/Rehabilitation:||100% Usual and Customary|
|Emergency Room:||100% Usual and Customary|
|(Use of Room and Supplies: Treatment must be rendered within 72 hours from time of injury)|
|X-rays, Diagnostic Testing:||100% Usual and Customary|
|Lab:||100% Usual and Customary|
|Ambulance:||100% Usual and Customary|
|Orthopedic Braces and Appliances:||100% Usual and Customary|
|Dental:||100% Usual and Customary|
|Neurological Consultant:||100% Usual and Customary|
|Anesthetist:||35% Usual and Customary|
|Assistant Surgeon:||35% Usual and Customary|
|Eyeglasses, Contact Lens and Hearing Aids:||100% Usual and Customary|
|Prescriptions:||100% Usual and Customary|
|Home Health Care:||10 Visits / $50 per visit|
|Injections:||$15 per visit up to $75 Maximum|
All other benefit reimbursements remain unchanged.
No benefits will be paid for services not listed in the Schedule of Benefits, or for any service described in the Exclusions and Limitations portion of the policy.
DALLAS ISD ~ SCHEDULE OF BENEFITS
MAXIMUM BENEFIT $25,000 For Each Injury
104 Week Benefit Period, $100 Deductible, Full Excess